What's the problem?
9 year's old girl came with parents inflammation and swelling of left hand elbow joint. Chief Complaints Pain in left elbow joint. History History of traumatic from bicycle Physical Examination Inflammation and swelling of elbow joint. And severe pain feeling when the joint flod or move hand. Investigations X-RAY attached Diagnosis Please suggest Management Please suggest
Bony architecture look normal How old is the injury ? If it is a treated case, possibility of myositis Arm sling Active finger movements Gentle active exercises of elbow within painless range Indomethacin is especially helpful in these cases Reassess response to treatment after one week Other possibilities are 1 Traumatic synovitis 2 CRPS 3 Juvenile rheumatoid arthritis 4 post traumatic inflammation of soft tissues Usg evaluation will help CBC esr RA factor Uric acid Crp levels also may help in finalising the diagnosis
X ray normal Ligament injury Rx 1. Oral anti infammatory x 5 - 7 days as necessary. 2. Immobilization of part x 3 weeks.
Possible synovitis due to trauma
No obvious bony injury ,soft tissue injury Fat pad sign seen. Suggest MRI ,ortho opinion
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